湖北医药学院学报2024，Vol.43Issue(2)：137-141,146,6.DOI:10.13819/j.issn.2096-708X.2024.02.005
准分子激光冠状动脉斑块消蚀术治疗复杂冠状动脉病变的临床观察
Clinical Observation of Excimer Laser Coronary Atherectomy in the Treatment of Complex Coronary Artery Lesions
赵虎 1陶敏 1贺行巍 1崔广林 1万琼 1曾和松1
作者信息
- 1. 华中科技大学同济医学院附属同济医院心血管内科,湖北 武汉 430030
- 折叠
摘要
Abstract
Objective To investigate the safety and efficacy of excimer laser coronary atherectomy(ELCA)in the treatment of complex coronary artery lesions.Methods Fifty cases(53 lesions)of complex coronary artery lesions treated with ELCA in our hospital from May 2018 to August 2023 were retrospectively analyzed to observe the efficacy and safety of ELCA.Regular follow-up was conducted post-surgery to monitor major adverse cardiovascular and cerebrovascular events(MAC-CEs).Results Of the 53 lesions,4 lesions were severely calcified,and a 0.9 mm laser catheter could not pass through,re-sulting in a success rate of 92.5%(49/53)for ELCA treatment.Post-ELCA,one lesion had severe dissection of the target vessel,and two lesions had residual stenosis of＞30%.The immediate success rate of PCI surgery was 86.8%(46/53).Within 24 hours post-surgery,one patient experienced acute intrastent thrombosis,which was resolved after emergency thrombus aspiration,and no other complications occurred during the perioperative period.During the follow-up period of 7(range:5-10)months post-surgery,one patient died due to acute cerebral infarction in the first week post-surgery,while the remaining patients did not experience major adverse cardiovascular and cerebrovascular events.Conclusion ELCA is a safe and effective interventional method for treating high-resistance complex coronary artery lesions.关键词
准分子激光冠状动脉斑块消蚀术/复杂病变/经皮冠状动脉介入治疗/冠状动脉疾病Key words
Excimer laser coronary atherectomy/Complex lesions/Percutaneous coronary intervention/Coronary artery disease引用本文复制引用
赵虎,陶敏,贺行巍,崔广林,万琼,曾和松..准分子激光冠状动脉斑块消蚀术治疗复杂冠状动脉病变的临床观察[J].湖北医药学院学报,2024,43(2):137-141,146,6.
